Puente al trasplante de 4 semanas utilizando el sistema de asistencia ventricular Levitronix Centrimag® en el shock cardiogénico post-infarto al miocardio: Caso clínico

Cardiogenic shock after myocardial infarction has a high mortality even if early revascularization is achieved. Biventricular assist devices have not been used in Chile in this critical setting. We report a case of a 55 year-old diabetic man who suffered an acute chest pain and ventricular fibrillat...

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Autores principales: VILLAVICENCIO,AURICIO, LARREA,RICARDO, LARRAÍN,ERNESTO, TURNER,FEDERICO, RIVERA,JUAN, PERALTA,JUAN PABLO, REYES,ALEX, MUÑOZ,PATRICIA
Lenguaje:Spanish / Castilian
Publicado: Sociedad Médica de Santiago 2010
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Acceso en línea:http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872010000600014
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spelling oai:scielo:S0034-988720100006000142010-08-31Puente al trasplante de 4 semanas utilizando el sistema de asistencia ventricular Levitronix Centrimag® en el shock cardiogénico post-infarto al miocardio: Caso clínicoVILLAVICENCIO,AURICIOLARREA,RICARDOLARRAÍN,ERNESTOTURNER,FEDERICORIVERA,JUANPERALTA,JUAN PABLOREYES,ALEXMUÑOZ,PATRICIA Heart transplantation Myocardial infarction Shock, cardiogenic Cardiogenic shock after myocardial infarction has a high mortality even if early revascularization is achieved. Biventricular assist devices have not been used in Chile in this critical setting. We report a case of a 55 year-old diabetic man who suffered an acute chest pain and ventricular fibrillation. Prompt outside hospital defibrillation/ reanimation restored pulse and allowed emergency room transfer on mechanical ventilation. Electrocardiogram showed an anterior myocardial infarction and early revascularization was achieved by anterior descending artery angioplasty. However, severe cardiogenic shock continued in spite of inotropic and intra aortic balloon pump support. Levitronix Centrimag® biventricular mechanical circulatory support was inserted during reanimation for recurrent ventricular fibrillation and the patient listed for urgent cardiac transplantation upon stabilization. Heart transplantation was performed successfully 28 days later and the patient was discharged after a 21-day recovery period. Twelve months after transplant the patient is in NYHA functional class I with normal biventricular function. Levitronix Centrimag® biventricular mechanical circulatory support could be used successfully as a bridge-to-transplant for myocardial infarction cardiogenic shock.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.138 n.6 20102010-06-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872010000600014es10.4067/S0034-98872010000600014
institution Scielo Chile
collection Scielo Chile
language Spanish / Castilian
topic Heart transplantation
Myocardial infarction
Shock, cardiogenic
spellingShingle Heart transplantation
Myocardial infarction
Shock, cardiogenic
VILLAVICENCIO,AURICIO
LARREA,RICARDO
LARRAÍN,ERNESTO
TURNER,FEDERICO
RIVERA,JUAN
PERALTA,JUAN PABLO
REYES,ALEX
MUÑOZ,PATRICIA
Puente al trasplante de 4 semanas utilizando el sistema de asistencia ventricular Levitronix Centrimag® en el shock cardiogénico post-infarto al miocardio: Caso clínico
description Cardiogenic shock after myocardial infarction has a high mortality even if early revascularization is achieved. Biventricular assist devices have not been used in Chile in this critical setting. We report a case of a 55 year-old diabetic man who suffered an acute chest pain and ventricular fibrillation. Prompt outside hospital defibrillation/ reanimation restored pulse and allowed emergency room transfer on mechanical ventilation. Electrocardiogram showed an anterior myocardial infarction and early revascularization was achieved by anterior descending artery angioplasty. However, severe cardiogenic shock continued in spite of inotropic and intra aortic balloon pump support. Levitronix Centrimag® biventricular mechanical circulatory support was inserted during reanimation for recurrent ventricular fibrillation and the patient listed for urgent cardiac transplantation upon stabilization. Heart transplantation was performed successfully 28 days later and the patient was discharged after a 21-day recovery period. Twelve months after transplant the patient is in NYHA functional class I with normal biventricular function. Levitronix Centrimag® biventricular mechanical circulatory support could be used successfully as a bridge-to-transplant for myocardial infarction cardiogenic shock.
author VILLAVICENCIO,AURICIO
LARREA,RICARDO
LARRAÍN,ERNESTO
TURNER,FEDERICO
RIVERA,JUAN
PERALTA,JUAN PABLO
REYES,ALEX
MUÑOZ,PATRICIA
author_facet VILLAVICENCIO,AURICIO
LARREA,RICARDO
LARRAÍN,ERNESTO
TURNER,FEDERICO
RIVERA,JUAN
PERALTA,JUAN PABLO
REYES,ALEX
MUÑOZ,PATRICIA
author_sort VILLAVICENCIO,AURICIO
title Puente al trasplante de 4 semanas utilizando el sistema de asistencia ventricular Levitronix Centrimag® en el shock cardiogénico post-infarto al miocardio: Caso clínico
title_short Puente al trasplante de 4 semanas utilizando el sistema de asistencia ventricular Levitronix Centrimag® en el shock cardiogénico post-infarto al miocardio: Caso clínico
title_full Puente al trasplante de 4 semanas utilizando el sistema de asistencia ventricular Levitronix Centrimag® en el shock cardiogénico post-infarto al miocardio: Caso clínico
title_fullStr Puente al trasplante de 4 semanas utilizando el sistema de asistencia ventricular Levitronix Centrimag® en el shock cardiogénico post-infarto al miocardio: Caso clínico
title_full_unstemmed Puente al trasplante de 4 semanas utilizando el sistema de asistencia ventricular Levitronix Centrimag® en el shock cardiogénico post-infarto al miocardio: Caso clínico
title_sort puente al trasplante de 4 semanas utilizando el sistema de asistencia ventricular levitronix centrimag® en el shock cardiogénico post-infarto al miocardio: caso clínico
publisher Sociedad Médica de Santiago
publishDate 2010
url http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872010000600014
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